Shockwave Therapy for Treatment of Erectile Dysfunction in NYC

by Alex Shteynshlyuger MD

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5211.

New York Urology Specialists is one of the first urology practices to offer low-intensity extracorporeal shock wave therapy for ED (ESWT) in the US. 

Shockwave Therapy for ED is the Latest Innovation in Treatment of Impotence in Men

Shockwave for Erectile DysfunctionShockwave therapy for the treatment of erectile dysfunction is a relatively new application of shockwave therapy.

Studies have found that shockwave therapy can induce improvement in vascular function of the blood vessels that supply blood to the penis.

Shockwave therapy has a good record of treating many medical conditions including kidney stones and tendinitis,  with a good safety record.

Because erectile dysfunction is most commonly caused by vascular disease or abnormal function of the arteries and arterioles that bring blood to the penis, penile shockwave therapy can be an effective treatment option for men with vascular erectile dysfunction.  In particular men with high blood pressure, diabetes and obesity often have vascular ED and can benefit.

What is the Safety Record of Shockwave Therapy for  Treating Men Who Have Problems with Erections?

Shockwave treatment of erectile dysfunction has a very good safety record.  It has been used worldwide for a few years now and thousands of men have been treated successfully for erectile dysfunction with low-intensity extracorporeal shock wave therapy.  All treatments are associated with some risks.  Relative to other treatment options, it appears that shockwave for ED is relatively safe with no long-term side effects.  

How Does Shockwave Therapy for ED Work?

Shock wave therapy induces changes in the blood vessels to make them more responsive to sexual stimulation and also stimulates angiogenesis, the formation of tiny microscopic new blood vessels in the penis. Shockwave helps blood vessels to have a more normal response to hormones and nerve stimulation.  The effect of the shockwave is partially similar to the effect that medications such as Viagra and Cialis create in the penis.

This leads to improved blood flow to the penis. The result is that men are able to obtain erections more normally.  Some men are able to get better erections without medications, other men are able to get better erections with the same or lower dose of medications.

How Do I Get Started with Shockwave therapy for ED?

New York Urology Specialists has the most effective shockwave therapy program, proven to work in randomized controlled studies.   

Schedule an appointment with our board-certified urologists to see if shockwave therapy for ED is a good option for you.  Tschedule a consultation, please contact us or call/text: 1-646-663-5211.

What is the Treatment Schedule for Shockwave Therapy for Erectile Dysfunction?  Do I Have to be Treated Continuously?

With shockwave therapy for erectile dysfunction, there is no need for lifelong treatment.  Often 1 course of treatment spaced over a 3 month period will lead to long-term improvement in erectile function, in some patients for up to 2 years. However, studies show that continuous treatment helps to maintain the benefit of treatment.

Periodic maintenance retreatment as part of maintenance therapy is beneficial. New York Urology Specialists evidence-based protocol for shockwave therapy for ED is associated with superior success rates.  

The number of treatments (induction therapy) and maintenance therapy is individualized to each patient based on the severity of underlying erectile dysfunction as well as vascular risk factors.

Our protocol for low-intensity extracorporeal shock wave therapy for ED (ESWT) has proven to have over 80% effectiveness for patients who are good candidates for shockwave therapy.

How Effective is Shockwave Therapy for Treatment of Impotence?

For many men, shockwave treatment for impotence is as effective as medical treatment with medications such as Viagra (sildenafil), Cialis, Levitra (vardenafil), and Stendra.  Many men treated with shockwave therapy for erectile dysfunction find that they no longer need medications (Viagra, Cialis, Stendra, Levitra, etc) to obtain and maintain an adequate erection.  Other men find that they can get a better erection with medications after treatment with shockwave therapy then they could get with medications alone.

It is important to understand that not every man is a candidate for shockwave therapy and not every man will benefit from it.

How Does Penile Shockwave Therapy for Erectile Dysfunction Compare to Medications such as Viagra, Cialis, Levitra, Stendra?

For many men, shockwave therapy for erectile dysfunction can be as effective or more effective than medications typically used for the treatment of erectile dysfunction. Unlike medications, with shockwave therapy for erectile dysfunction there is no need to time sexual activity to medication use and sex can be more natural and spontaneous.

It is important to know that shockwave therapy works only for men who have an underlying vascular disease.  For men who have erection problems as a result of nervous system dysfunction (anxiety, depression, multiple sclerosis), shockwave therapy will not work.

What are the Common Side Effects of Shockwave Therapy for Erectile Dysfunction?

Most men report no side effects from low-energy shockwave therapy for ED.  Occasional side effects of shockwave therapy for erectile dysfunction include mild discomfort (tingling sensation) in the penis that may occur during treatment, usually during the first session.  

For men who are not candidates for shockwave treatment or if shockwave therapy does not provide adequate improvement, other treatments for ED are available.

Does Shockwave Therapy Work for Everyone?

While shockwave therapy for ED can help many men get better erections, it is not for everyone.  A thorough evaluation is necessary to determine the causes of ED and to decide on treatment options which may include shockwave therapy for ED.

Shockwave therapy for ED is likely to work for men with high blood pressure, diabetes, high cholesterol, and heart disease.  It is less likely to be appropriate for younger healthy men unless they have vascular risk factors such as high blood pressure, cholesterol, diabetes or obesity. 

Men with veno-occlusive insufficiency or venous leak do not benefit from shockwave therapy unless the problem is mild and can be compensated with improved arterial blood inflow.  At New York Urology Specialists, we perform testing on all men who are interested in shockwave therapy for ED to make sure that their ED is not caused by a venous leak.  This avoids unnecessary costs of doing shockwave therapy and time commitment for men for whom shockwave is very unlikely to work.

Shockwave therapy for ED works best for men who have mild to moderate ED, which usually means that oral medications such as sildenafil (Viagra), Cialis, Levitra, and Stendra work well or at least help somewhat.   For these men, as many as 80% can stop taking oral medications, may get better erection quality with medications, or may require lower dose of medications.

Our experience demonstrates that even with men with moderate-to-severe ED, shockwave therapy can be effective for many men.  As many as 60-70% of men are able to get spontaneous erections with better erection quality, usually in combination with medications such as sildenafil, and tadalafil.

Treatments with shockwave therapy such as Storz, Renova, and Medispec are less likely to work if erectile dysfunction is severe and oral medications do not work at all.  For men for whom oral medications such as Viagra do not work, the success rate of treatments such as Storz, Renova and Medispec shockwave therapy for erectile dysfunction is 30-50%.  We first attempt to optimize patient’s condition prior to initiating shockwave therapy in situation where the problem is severe and shockwave is unlikely to work.  In addition, we offer other very effective treatment options for ED such as penile injections with Trimix and penile implant.

What You Need To Know:

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Scheduling Appointments for ED Treatment at New York Urology Specialists

If you have any questions, to schedule a consultation please contact us or call/text: 1-646-663-5211.

Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation and other sexual concerns.  He has successfully treated hundreds of men with sexual problems including ED and poor libido.

ED is Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of erectile dysfunction.  We understand the challenges that ED creates for our patients, their relationships and their self-esteem.  We help you find a treatment for erectile dysfunction that fits your needs, your lifestyle and your preferences.

Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED.  We offer medical and surgical treatment for erectile dysfunction.

We Treat Some of the Most Complex ED Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-5211 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in evaluation and treatment of sexual and erection problems in men using modern effective and proven treatment methods.  We offer inflatable penile implant, shockwave therapy for ED and treatment for Peyronie’s disease.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.

If you have any questions, to schedule a consultation please contact us or call/text: 1-646-663-5211.

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